Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Angela Marie Dedionisio, OD

Individual provider Optometrist · NPI 1417339359

Dr. Angela Marie Dedionisio, OD is an Optometry in Medford, Oregon. Qualified in 2015, 11 years ago. Practices with Eye Care Group of Southern Oregon LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon and Pennsylvania.

Years since qualifying
11
Licensed in
OR, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

38 Rossanley Dr
Medford, OR 97501
Phone: (561) 275-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4383AT (OR)
Optometrist Taxonomy 152W00000X · Licence OEG003059 (PA)

Record details

NPI number1417339359
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 28, 2015
Last updated in NPPESAugust 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Eye Care Group Of Southern Oregon Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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